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Core Exam Flip

Core Exam Flip. JK Amorosa. Name 5 causes of ptx. 1. Spontaneous most common 2.COPD 3.Chronic cystic lung disease such as LAM, histiocytosis 4.Mets 5.Catamenial ptx. Rad signs of tension ptx. 1.Contralateral mediastinal shift 2.Diaphragmatic depression 3.Rib cage expansion

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Core Exam Flip

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  1. Core Exam Flip JK Amorosa

  2. Name 5 causes of ptx • 1.Spontaneous most common • 2.COPD • 3.Chronic cystic lung disease such as LAM, histiocytosis • 4.Mets • 5.Catamenial ptx

  3. Rad signs of tension ptx • 1.Contralateral mediastinal shift • 2.Diaphragmatic depression • 3.Rib cage expansion • 4.Flattening of the contours of the R heart border and /or SVC

  4. Nodule • 1.Spiculated margins • 2.Squamous cell ca • 3.T1 mass size • Best method of Dx

  5. Pleural plaques are seen in people who have worked in • 1.Mining • 2.Insulation • 3.Ship building • 4.Brake lining

  6. Pleural plaques • 1.Unilateral • 2.Symptomatic • 3.Premalignant

  7. Emphysema • 1.Overinflation • 2.Reduced vascularity • 3.Flattening of diaphragms • 4.Best imaging method: HRCT

  8. Tracheal stenosis, etiologies: • -trauma, most common: following prolonged ET, Sx, radiation • -chronic inflammatory diseases (amyloidosis, sarcoidosis, relapsing polychondritis), • -benign neoplasm (respiratory papillomatosis), • -malignant neoplasm (primary tracheal, secondary invasion, metastatic) • -collagen vascular diseases (tracheopathia osteoplastica, Wegener granulomatosis). • Wenzel emedicine

  9. Miliary pattern • 1.TB, fungal, silicosis, sarcoidosis, met thyroid or melanoma • 2.How does it disseminate: hematogenously

  10. Pulmonary contusion occurs • 1.Early: within 6 hours • 2.Later: within 7 day • 3.Resolves within 6 hours • 4.Resolves within 7 days

  11. Pulmonary Laceration

  12. Mesothelioma • 1.More than 1 cm thick • 2. circumferential • 3.involves mediastinal surface • 4.Nodular

  13. Mesothelioma, pleural calcifications seen in • 1.50% • 2.20% • 3.75% • 4.80%

  14. Pneumothorax on supine image • 1.Hyperlucent upper abdominal quadrant • 2.Double diaphragmatic contour • 3.Deep sulcus sign

  15. Anterior junction line is made up of how many pleural layers • 1. 2 • 2. 4 • 3. 6

  16. Posterior junction line • 1. Extends above the clavicles • 2. Does not extend above the clavicles

  17. Which is seen more frequently? • 1.Anterior junction line • 2.Posterior junction line

  18. ARDS • 1.Clinical dx of acute respiratory failure with profound hypoxia and lung parenchymal opacities on chest X-ray

  19. ARDS causes • 1.Trauma • 2.Sepsis • 3.Aspiration • 4. Inhaled toxins • 5. Drug overdose • 6.Transfusion

  20. Cavity • 1.Reactivation TB • 2.Squamous cell ca • 3.Vasculitis • 4.Granulomatous

  21. Right cardiophrenic mass • 1.Pericardial cyst • 2.Pericardial fat pad • 3. Morgagni’s hernia • 4.Lipoma • 5.Thymolipoma • 6.Epicardial lymphnodes

  22. Cystic Fibrosis Inheritance Pattern • 1.Autosomal recessive • 2.Autosomal dominant

  23. Treatment of hemoptysis for invasive aspergillosis • 1.Surgical resection • 2.Bronchialartery embolization

  24. RLL andLLL segments RLL LLL ALP (anteromedial, lateral, posterior) • ALPM (anterior, lateral, posterior, medial)

  25. Anterior mediastinal mass • Most common: thymic origin

  26. Thymic mass • 1.Thymoma – most common • 2.Thymic hyperplasia • 3. Thymolipoma • 4.Thymic cyst • 5.Thymic carcinoma-metastasizes hematogeneously • 6.Thymic carcinoid

  27. Subcarinal mass • 1.Subcarinal LN • 2.Bonchogenic cyst • 3.Left atrial enlargement

  28. Pneumomediastinum • Decubitus image will show layering?

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